Free untitled - California

United States Court of Appeals
District of Columbia Circuit

CRIMINAL DOCKETING STATEMENT
(To be completed by appellant)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Appellate Case Number: Case Name: Appellant's Name: 3a. Appellant's Defendant No: Date of Conviction: Name of District Court Judge: Date Notice of Appeal Filed: Offense(s) of conviction:

1a. Criminal Action Number:

3b. Appellant's Fed. Reg/PDID No. 4a. Date of Sentence:

15.

16. 17. 18. 19.

20. 21. 22. 23.

Did appellant plead guilty? G Yes G No What sentence was imposed? How much of the sentence has appellant served? Is appellant challenging the conviction? G Yes G No Is appellant challenging the sentence? G Yes G No Has appellant filed a post-conviction motion? G Yes G No If yes, what motion, date filed, and disposition: Is appellant incarcerated? G Yes G No If yes, where: If no, address and phone number: Has appellant moved for release pending appeal in District Court? If yes, date filed and disposition: If no, does defendant intend to file such a motion in the District Court? Will appellant file a motion for release pending appeal in court of appeals? Did appellant have court-appointed counsel in District Court? Does counsel appointed in District Court wish to continue on appeal? Did defendant have retained counsel in district court? If yes, will case proceed on appeal with retained counsel? If no, will appellant seek appointment of counsel on appeal? If no, has a motion to proceed in forma pauperis been filed? Has counsel ordered transcripts? G Yes G No If yes, from what proceedings: If yes, when will transcripts be completed? Did counsel seek expedited preparation of sentencing transcripts? Date

G Yes G Yes G Yes G Yes G Yes G Yes G Yes G Yes G Yes

G No G No G No G No G No G No G No G No G No

G Yes

G No

Signature Name of Party (Print) Name of Counsel (Print) Firm Address Phone

Fax No.

Note: In all appeals of sentences of 8 months or less trial counsel is required to prosecute the appeal of the sentence. If counsel for any other party believes that the information submitted is inaccurate or incomplete, counsel may so advise the Clerk within 7 calendar days by letter, with copies to all other parties, specifically referring to the challenged statement. An original and one copy of such letter should be submitted. Attach a certificate of service to this form.

[USCADC Form __ (Rev. Jul 2007)]